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Multidisciplinary Approach to Obesity Management: A Case Report
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Personalized multistep cognitive behavioral therapy for obesity.

Riccardo Dalle Grave1, Massimiliano Sartirana1, Marwan El Ghoch1

  • 1Department of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.

Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy
|June 16, 2017
PubMed
Summary

Multistep cognitive behavioral therapy for obesity (CBT-OB) offers a personalized, modular approach. Residential CBT-OB achieved 15% weight loss in 12 months for morbid obesity, with sustained results.

Keywords:
cognitive behavioral therapylifestyle modificationobesityoutcomeweight lossweight maintenance

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Area of Science:

  • Behavioral Science
  • Clinical Psychology
  • Obesity Research

Background:

  • Multistep cognitive behavioral therapy for obesity (CBT-OB) integrates lifestyle modification with cognitive strategies.
  • CBT-OB is delivered in a stepped-care model across outpatient, day hospital, and residential settings.
  • The program utilizes six flexible modules tailored to individual patient needs.

Discussion:

  • A randomized controlled trial demonstrated significant weight loss in morbidly obese patients undergoing residential CBT-OB.
  • The treatment led to a 15% mean weight loss at 12 months, with weight maintenance observed between months 6 and 12.
  • CBT-OB shows promise for managing obesity, particularly when associated with binge-eating disorder.

Key Insights:

  • Multistep CBT-OB effectively reduces weight in morbidly obese individuals.
  • The treatment promotes sustained weight loss and maintenance.
  • Cognitive behavioral strategies are crucial for influencing weight loss and long-term management.

Outlook:

  • Ongoing outpatient studies (individual and group settings) will further evaluate CBT-OB efficacy.
  • Evidence-based support for CBT-OB as an effective alternative to standard weight-loss programs is anticipated.
  • Further research may confirm CBT-OB's role in comprehensive obesity management.